Internal Examination of Hanging Deaths

Ligature Strangulation

Internal injuries are absent in many hangings, even with complete suspension, which underscores that hanging is a gentle form of asphyxia, particularly when self-inflicted 4,7,15,16,23,24,28,50,93,128 . Consciousness is lost rapidly, with little time for purposeful activity 125 . Vagal stimulation leading to sudden cardiac arrest could also be a factor 90 . Internal neck injuries were seen in about 60 of hanging deaths in one series 16 . There was a higher frequency of trauma in complete...

Internal Injuries Owing to Electrocution Table

Traumatic Amputations Blast Injuries

Hospitalized electrocution victims can show evidence of myocardial ischemia and arrhythmias 139,141,145,147,149,152,158 . Because of the onset of arrhythmia can be delayed, these patients are monitored for 24 h after admission, particularly when there is a history of heart disease, loss of consciousness at the scene, or apparent current flow through the heart 139,141,142,145,232,233 . The heart can be normal at autopsy 181 . Petechiae may be found in the myocardium, and larger hemorrhages have...

External Examination of Hanging Deaths

Ligature Hanging Suicide

Dependent livor is observed in the lower arms and legs depending on the duration of suspension see Chapter 2, Fig. 9 and ref. 23 . Ropes, electric cords, and belts are common 23,24,43,50,57,58 . The ligature may be altered, i.e., unraveled or cut by next of kin and investigators 16 . The ligature can be wound multiple times Fig. 8 refs. 5, 24, and 62 . The ligature can be simply looped around the neck or there can be an elaborate knot e.g., multiple loops in a hangman's noose 16,46 . An...